Exam 16: Bronchial Hygiene Therapy

The patient vomits and aspirates in the flat,supine position.A therapeutic bronchoscopy is performed and confirms that the patient has aspirated into the superior segments of both lower lobes.The physician orders postural drainage for these segments.How should this be performed?

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(Multiple Choice)

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Question 1

Correct Answer:

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A patient with cystic fibrosis is going to be sent home.The physician wants the practitioner to recommend bronchial hygiene at home.The patient has an active lifestyle and both parents have arthritis and cannot perform percussion and postural drainage (PPD)on the patient.What should be recommended for the patient?

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Question 2

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A percussion vest would allow the patient to self administer the therapy and allow the patient to take the therapy on trips as needed.PEP therapy would be a good alternative to PPD because the therapy would increase distribution of ventilation to make the cough more effective.The therapy should be followed by controlled huff coughing.A flutter valve may be an alternative because the internal vibration created by the device would loosen secretions and improve secretion clearance.A medication nebulizer with an internal battery should be used for nebulizer therapy.

Which one of the following therapies would be best used to reduce air trapping in asthma and COPD?

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(Multiple Choice)

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Question 3

Correct Answer:

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How would you drain the medial and lateral segments of the right middle lobe?

(Multiple Choice)

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Question 4

How does the Respironics Coughassistᵀᴹ MI-E simulate a cough to help the patient?

(Multiple Choice)

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Question 5

If sputum production in an optimally hydrated patient is 10 ml/day with postural drainage therapy (PDT),_______________

(Multiple Choice)

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Question 6

Which of the following is NOT a hazard or complication of a directed cough?

(Multiple Choice)

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Question 7

Vibration is an isometric maneuver performed with the arm and hand.It is only performed on:

(Multiple Choice)

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Question 8

A patient who is receiving postural drainage and percussion desaturates during therapy,complains of dizziness,and states he cannot tolerate the treatment any longer.What should the practitioner do?

(Essay)

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Question 9

What is the ideal breathing pattern for PEP therapy?

(Multiple Choice)

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Question 10

A patient positioned on their back is placed in which position?

(Multiple Choice)

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Question 11

What bronchial hygiene technique is indicated for a patient who has poor oxygenation associated with a unilateral lung disease?

(Multiple Choice)

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Question 12

You are called to assess a patient and recommend the appropriate therapy.Upon assessment the patient exhibits an abnormal chest radiograph consistent with infiltrates,sputum retention not responsive to directed coughing,and a deterioration in the patient's arterial blood gas values.What therapy should be recommended for this patient?

(Multiple Choice)

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Question 13

Trendelenburg position is contraindicated for ___________________. I.Intracranial pressure (ICP)of 30-mm Hg II.Uncontrolled airway at risk for aspiration III.Distended abdomen IV.Recent gross hemoptysis associated with radiation therapy

(Multiple Choice)

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Question 14

The respiratory therapy practitioner asks the patient how she feels during postural drainage therapy.The patient complains of feelings of pain,shortness of breath,and nausea.What should be done at this time?

(Multiple Choice)

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Question 15

During bronchial hygiene therapy in the Trendelenburg position,the patient's heart rhythm exhibits bigeminy PVCs.What intervention would be the most correct for the Respiratory Care Practitioner to take at this time?

(Multiple Choice)

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Question 16

After postural drainage therapy,the patient's pulse increases from 80/min to 90/min and the respiratory rate increases from 18/min to 22/min after 15 minutes of therapy.The patient expectorates an average of 20 ml of therapy after each therapy which is given BID.What should be recommended at this time?

(Multiple Choice)

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Question 17

The left lung has lobes and the right lung has lobes.There are __ bronchopulmonary segments total in both lungs.

(Multiple Choice)

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Question 18

During bronchial hygiene therapy in the Trendelenburg position,the patient vomits and aspirates.What intervention would be the most correct for the Respiratory Care Practitioner to take at this time?

(Multiple Choice)

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Question 19

What type of therapy is being given by the application of positive pressure (10 to 15 cm H₂O)during active exhalation to increase functional residual capacity (FRC)following a larger than normal tidal breath?

(Multiple Choice)

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Question 20

Showing 1 - 20 of 28

Exam 16: Bronchial Hygiene Therapy

The patient vomits and aspirates in the flat,supine position.A therapeutic bronchoscopy is performed and confirms that the patient has aspirated into the superior segments of both lower lobes.The physician orders postural drainage for these segments.How should this be performed?

Which one of the following therapies would be best used to reduce air trapping in asthma and COPD?

How would you drain the medial and lateral segments of the right middle lobe?

How does the Respironics Coughassistᵀᴹ MI-E simulate a cough to help the patient?

If sputum production in an optimally hydrated patient is 10 ml/day with postural drainage therapy (PDT),_______________

Which of the following is NOT a hazard or complication of a directed cough?

Vibration is an isometric maneuver performed with the arm and hand.It is only performed on:

A patient who is receiving postural drainage and percussion desaturates during therapy,complains of dizziness,and states he cannot tolerate the treatment any longer.What should the practitioner do?

What is the ideal breathing pattern for PEP therapy?

A patient positioned on their back is placed in which position?

What bronchial hygiene technique is indicated for a patient who has poor oxygenation associated with a unilateral lung disease?

Trendelenburg position is contraindicated for ___________________. I.Intracranial pressure (ICP)of 30-mm Hg II.Uncontrolled airway at risk for aspiration III.Distended abdomen IV.Recent gross hemoptysis associated with radiation therapy

The respiratory therapy practitioner asks the patient how she feels during postural drainage therapy.The patient complains of feelings of pain,shortness of breath,and nausea.What should be done at this time?

During bronchial hygiene therapy in the Trendelenburg position,the patient's heart rhythm exhibits bigeminy PVCs.What intervention would be the most correct for the Respiratory Care Practitioner to take at this time?

The left lung has ____ lobes and the right lung has ______ lobes.There are ____ bronchopulmonary segments total in both lungs.

During bronchial hygiene therapy in the Trendelenburg position,the patient vomits and aspirates.What intervention would be the most correct for the Respiratory Care Practitioner to take at this time?

What type of therapy is being given by the application of positive pressure (10 to 15 cm H₂O)during active exhalation to increase functional residual capacity (FRC)following a larger than normal tidal breath?

Basics of Asepsis

Basic Patient Assessment: Vital Signs and Breath Sounds

Advanced Patient Assessment: Inspection, Palpation, and Percussion

Radiologic Assessment

Pulmonary Function Testing

Electrocardiography

Phlebotomy

Arterial Blood Gas Sampling

Hemodynamic Monitoring

Noninvasive Monitoring

Documentation and Goals Assessment

Oxygen Supply Systems

Oxygen Administration

Introduction to Respiratory Care Pharmacology

Humidity and Aerosol Therapy

Hyperinflation Therapy

Bronchoscopy Assisting

Equipment Processing and Surveillance

Emergency Airway Management

Artificial Airway Care

Chest Tubes

Insertion and Maintenance of Intravenous Lines

Noninvasive Positive-Pressure Ventilation

Continuous Mechanical Ventilation

Advanced Modes of Mechanical Ventilation

Wave Form Analysis

Weaning and Discontinuance of Mechanical Ventilation

Neonatal Mechanical Ventilation

Filters

The left lung has lobes and the right lung has lobes.There are __ bronchopulmonary segments total in both lungs.